BRADNER VILLAGE HEALTH CARE CENTER
NPI 1124025457
Nursing Facility/Intermediate Care Facility in Marion, IN

NPI Status: Active since July 01, 2005

Contact Information

505 N BRADNER AVE
MARION, IN
ZIP 46952
Phone: (765) 662-3981
Fax: (765) 662-3981

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About BRADNER VILLAGE HEALTH CARE CENTER

This page provides the complete NPI Profile along with additional information for Bradner Village Health Care Center, a provider established in Marion, Indiana operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1124025457 assigned on July 2005. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Bradner Village Health Care Center. The authorized official of this NPI record is Mr. Eric Walts Mba (Ceo)

NPI
1124025457
Provider Legal Name
PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER
Other Organization Name
BRADNER VILLAGE HEALTH CARE CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
505 N BRADNER AVE MARION, IN 46952
Location Phone
(765) 662-3981
Location Fax
(765) 662-3981
Mailing Address
505 N BRADNER AVE MARION, IN 46952
Mailing Phone
(765) 662-3981
Mailing Fax
(765) 662-3981
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License State
IN
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ERIC WALTS MBA

Authorized Official Title
CEO
Authorized Official Phone
(765) 662-3981

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124025457, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 0 + 2 + 1 + 0 + 4 + 1 + 0 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1124025457.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapy Assistant
505 N BRADNER AVE
MARION, IN 46952
Skilled Nursing Facility
505 N BRADNER AVE
MARION, IN 46952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124025457, enumerated as an "organization" on July 01, 2005.

The provider is located at 505 N BRADNER AVE MARION, IN 46952 and the phone number is (765) 662-3981.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.